Consent form (complete in ink only): Please read thoroughly as it is an agreement between you and the Clinic. Initial where indicated, and sign and date the form. Bring this with you to your screening appointment. Click here to download this form.

Health history (complete in ink only): Please read thoroughly and answer to the best of your ability. If unsure of an answer, check the box under “Unsure.” Your student will talk with you about it at your screening appointment. Also, if you take many medications, please bring a legible list of the names, doses and why you take the medicine. Be sure to include any over-the-counter, dietary or herbal supplements. Sometimes it is most helpful to bring the container if you are unsure of a product’s name or use. Please sign and date the form. Bring this with you to the screening appointment. Click here to download this form.

Hours of Care

Fall

Winter

Spring

Tuesdays and Thursdays only, 8:45 a.m. to 4:30 p.m.

Tuesdays and Thursdays, 8:45 a.m. to 4:30 p.m.Mondays 8:45 a.m. to noon.
Also open Wednesdays 8:45 a.m. to 4 p.m. last two weeks of term

Monday through Friday, all day, with restorative on Fridays only

(Closed during the summer, mid-June to late September)

The program in dental hygiene is accredited by the Commission on Dental Accreditation and has been granted the accreditation status of “approval without reporting requirements”. The Commission is a specialized accrediting body recognized by the United States Department of Education. The Commission on Dental Accreditation can be contacted at (312) 440-4653 or at 211 East Chicago Avenue, Chicago, IL 60611. The Commission’s web address is: http://www.ada.org/100.aspx.